title: Reduced risk of clinical malaria in children infected with multiple clones of Plasmodium falciparum in a highly endemic area: a prospective community study.
abstract: A prospective community study in a highly malaria endemic area of Papua New Guinea found that infection with multiple Plasmodium falciparum genotypes was an indicator of lowered risk of subsequent clinical attack. The results suggest that concurrent or very recent infections provide protection from superinfecting parasites. The finding of an association between reduced risk of clinical malaria and infection with parasites of merozoite surface protein 1 (MSP-1) type RO33 or MSP-2 type 3D7 further suggests that the concomitant immunity is, at least in part, a consequence of a response to these major merozoite surface proteins.
authors.affiliation: Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea.
authors.forename: F
authors.initials: F
authors.lastname: al-Yaman
authors.forename: B
authors.initials: B
authors.lastname: Genton
authors.forename: J C
authors.initials: JC
authors.lastname: Reeder
authors.forename: R F
authors.initials: RF
authors.lastname: Anders
authors.forename: T
authors.initials: T
authors.lastname: Smith
authors.forename: M P
authors.initials: MP
authors.lastname: Alpers
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D000818:Animals; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D019353:Endemic Diseases; D005838:Genotype; D006801:Humans; D007223:Infant; D016778:Malaria, Falciparum / Q000453:epidemiology* / Q000469:parasitology; D009017:Morbidity; D010219:Papua New Guinea / Q000453:epidemiology; D010963:Plasmodium falciparum / Q000145:classification* / Q000235:genetics; D016133:Polymerase Chain Reaction; D015995:Prevalence; D011446:Prospective Studies